Individual
SUSAN CROLL ZEGUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
611 N BROAD ST, LAMPASAS, TX 76550-1105
(512) 947-4928
Mailing address
PO BOX 84, LAMPASAS, TX 76550-0028
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2040129
TX
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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